Zizindikiro, Kuchiza, ndi Kugonjetsa kwa Khansa ya M'thupi Yopweteka
Kuwongolera ductal carcinoma (IDC), wotchedwanso infiltrating carcinoma kapena kansa ya m'mawere , ndi mtundu wamba wa khansa ya m'mawere . Zimayamba kukula m'matumbo a mkaka, koma zimatuluka mumatope, ndipo zimalowa mkati kapena zimalowa mkati.
Mosiyana ndi ductal carcinoma in situ (DCIS) , yomwe ndi khansa yosadziwika, IDC ilibe khansa.
IDC ikhoza kuwononga maselo ndi maselo a magazi, kufalitsa maselo a khansa ku mbali zina za thupi lanu. Ngati IDC ikufalikira kudutsa malo ake oyambirira, timanena kuti yasintha.
Ndikofunika kufotokozera kuti mawu osokonezeka amatanthawuza kuti khansara iyi yafalikira kupyola mitsempha, koma sizowopsya ngati ikuwonekera. Mawu osagonjetsa sizikutanthauza kuti khansara yayamba kupitirira pamabere, kapena kuti yathamangitsa mitsempha yanu kapena mitsempha ya m'magazi. Ngakhale kansa ya kansa ya khansa (carcinoma in situ) si yowopsya, khansa yonse ya m'mawere kuyambira pa siteji 1 mpaka siteji 4 imatengedwa ngati "yosautsa."
Kukula
IDC ndi kawirikawiri khansa ya m'mawere yambiri ya m'mawere ndi nkhani pafupifupi 8 mwa khumi mwa khansa ya m'mawere yonse yomwe imatha. Mtundu uwu wa khansa ya m'mawere ikhoza kuchitika pa msinkhu uliwonse, koma anthu ambiri ali ndi zaka zoposa 55 panthawi yomwe akudziŵa. IDC ndi mtundu wochuluka wa khansa ya m'mawere mwa amuna , kuwerengera pafupifupi 80 peresenti ya khansa ya m'mawere.
Zizindikiro ndi Zizindikiro
Carcinoma yodalirika ikhoza kupereka m'njira zosiyanasiyana. Zingamve ngati chotupa cholimba, chophwanyika, chosaoneka mosaoneka bwino pansi pa doola kapena pafupi ndi pakati pa chifuwa chanu. Chingwe cha IDC chidzamverera ngati chikuphatikizidwa ndi minofu kuzungulira izo, kotero zikhoza kuwoneka ngati zosasunthika.
Koma zidzasuntha ndi minofu yomwe imalowa mkati.
IDC ikhoza kubwezeretsa ntchentche (ntchentche kapena asola akukoka). Mukamagwiritsa ntchito mawere anu omwe nthawi zonse amadzipenda , ngati nkhono yanu isayime pambali yanu, ndibwino kuti mupite kukaonana ndi dokotala wanu. Kuwombera khungu, ndi zizindikiro zina za m'mawere zikhoza kukhalapo. Nthawi zambiri kupweteka kwa m'mawere kumakhala chifukwa cha matenda a chiwindi, koma mosiyana ndi zomwe amai ambiri (ndi amuna) amamva, ululu nthawi zina umakhala chizindikiro cha khansa ya m'mawere
Kudziwa
Ngati mutapeza chofuwa cha m'mawere mukamadzipenda nokha kapena kuchipatala , ndibwino kuti muyang'ane bwinobwino. Kumbukirani kuti 80 peresenti ya zifuwa zonse za m'mawere si khansa . Koma ngati khansa ya m'mawere imagwidwa mofulumira, mwayi wanu wopulumuka ndi wabwino kwambiri. Mayesero ena omwe amagwiritsidwa ntchito kuti apeze chidziwitso chodziwika bwino cha ductal carcinoma ndi awa:
- Mamemogram
- Mwamba-resolution ultrasound
- Mbuzi MRI
- Matumbo a chifuwa (mwina zabwino za singano, chithunzithunzi chachikulu, kapena chiopsezo chotseguka)
Pa mammografia, zizindikiro zingayang'ane pafupi ndi misala a IDC, kapena misa ikhoza kuwonedwa mwachindunji. Mosiyana ndi zovuta zambiri za m'mawere, khansa ya m'mawere ikhoza kukhala ndi maonekedwe, kutanthauza kuti m'malo mozungulirana, kuchulukako kumatuluka kumtunda waukulu ngati nkhanu.
(Mawu akuti khansa kwenikweni amachokera ku mawu akuti crab chifukwa cha maonekedwe awa.)
Ultrasound ndi yothandiza posiyanitsa khungu kuchokera pachimake. Matenda a Miri angathandize kwambiri, makamaka kwa atsikana achichepere omwe ali ndi minofu yambiri yamphongo yomwe imachepetsa kulondola kwa nyamakazi.
Ngakhalenso ndi zojambula zojambula monga mammograms, ultrasounds, ndi MRI, pali ziŵerengero zochepa za m'mawere zomwe zimatsanzira khansa ya m'mawere . Nthendayi ndi yofunikira kwambiri kuti zitsimikizire kuti khansara ya m'mawere siiphonya, komanso kuwonetsetsa kuti zomwe zikuwoneka ngati khansa ya m'mawere sizinali zovuta.
Miyendo
Chodabwitsa cha ductal carcinoma chikhoza kupezedwa kuchokera ku gawo 1 mpaka 4.
Pamene khansara ya m'mawere imatha kugwira ndi kuchiritsidwa kumayambiriro, sizingatheke kubwerera. Chithandizo cha IDC chidzakonzedwa pa siteji ndi zizindikiro zina zofunika za chifuwa chanu chomwe chafotokozedwa pansipa.
Kuthamangitsani
Madokotala amagwiritsa ntchito mawu akuti prognosis kuti akambirane zam'tsogolo momwe mungapezere moyo. Kuthamanga kwanu kudzadalira pa zambiri zokhudza chifuwa chanu, ndipo mfundo zimenezo zidzakuthandizani kusankha njira zomwe zingakuthandizeni kwambiri. Zambiri pa lipoti lanu la matendawa ziphatikizapo:
- Kukula kwa mimba
- Zitsulo zopangira opaleshoni
- Mapulogalamu obisala
- Chikhalidwe cha obwera ndi mahomoni
- Mipingo HER2
- Mmene thupi lilili
Chithandizo
Cholinga cha kuchiza khansa ya m'mawere ndi kuchotsa maselo a khansa ndikupewa kubwereza. Mankhwala angaphatikizepo:
- Lumpectomy (opaleshoni kuchotsa chotupa ndi zina za minofu yozungulira)
- Mastectomy (opaleshoni kuchotsa zonse minofu)
- Sentinel node biopsy ndi / kapena machulukidwe a nthenda ya dissection
- Chemotherapy
- Mafunde
- Zotsatira zochiritsira za khansa yabwino ya HER2 yabwino
- Mankhwala otchedwa hormone monga tamoxifen kapena aromatase inhibitor
Malingana ndi siteji ya khansa yanu ndi zina, mayesero ena angapangidwe pofuna kutsimikiza kuti khansa sinafalikire kumadera ena a thupi lanu. Kufufuza kwa PET ndiyeso yomwe shuga yowonjezera imayikidwa mu mitsempha, kenako kuyesa kujambula kokongola kumachitika pofuna kuyang'ana malo omwe ali m'thupi lanu omwe amawoneka akugwira ntchito, monga momwe angayembekezere ndi khansa. Ngati mankhwala oopsa a carcinoma amatha kufalikira kumadera ena monga mapapu anu, mafupa anu, chiwindi, kapena ubongo wanu amaonedwa ngati khansa ya m'mawere.
Tsatirani Pambuyo Pachipatala Chachikulu
Mutatha kumaliza mankhwala opatsirana khansa ya m'mawere, mutha kuona wanu oncologist kwa zaka zingapo, pofufuza. Kwa zaka 10, mungafunikire kutenga mankhwala a hormone ngati chotupa chanu chinali estrogen kapena progesterone yovuta. Mudzapitiriza kukhala ndi mamimba pa zifuwa zonse zomwe muli nazo, kuphatikizapo kupuma kwa pfupa ngati muli ndi minofu kuti muwone kuti mulibe matenda opatsirana.
Thandizo ndi Kulimbana
Ngati mwapezeka kuti muli ndi IDC, pitani kwa achibale anu ndi abwenzi anu. Khansara sizeng'onoting'ono, ndi marathon, ndipo zingakhale zothandiza kuti abwenzi anu amuthandize pa zosowa zanu m'malo mokha limodzi kapena awiri. Pali magawo ambiri okhudza kugonana kwa khansa ya m'mawere , ndipo nthawi zina onse amachitika tsiku limodzi. Tengani nthawi yokhala pamper nokha. Siyani zinthu zomwe simungathe kuzilamulira.
Taphunzira kuti khansara ya m'mawere imabweretsa mavuto ochulukirapo, ndipo ndi msewu wautali, koma nthawi zambiri zimakhala zasiliva panjira. Ndipotu, kafukufuku tsopano akutiuza kuti pamodzi ndi kupsinjika maganizo, anthu ambiri opatsirana khansa ya m'mawere amakhala ndi "kukula msanga". Mwa kuyankhula kwina, kukhala ndi khansa kumakupangitsani kukhala munthu wabwino .
Zotsatira
American Cancer Society. Kodi khansa ya pachifuwa ndi chiyani?